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Organization

CARY JASPER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARY JASPER FNP (OWNER/FNP)
(907) 244-9901
Entity
Organization

Contact information

Practice address
1006 KRESKY AVE STE 1, CENTRALIA, WA 98531-3723
(360) 264-2492
Mailing address
1006 KRESKY AVE STE 1, CENTRALIA, WA 98531-3723
(360) 264-2492

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
05/17/2023
Last updated
05/17/2023
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